GENESIS HEALTH SYSTEM (NPI# 1710276183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710276183 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS PSYCHIATRIC HOSPITALISTS |
| Practice Address |
1401 W Central Park Ave Davenport IA 52804-1707 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 5634211288 |
| Practice Fax Number | 5634211280 |
| Mailing Telephone | 5633559200 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | MARK G. ROGERS (VP OF FINANCE/CFO) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Genesis Psychiatric Hospitalists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
| 1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
| 1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
| 1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
| 1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
| Street Address |
1401 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762369 | Thomas J Stoffel | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2005-09-28 |
| 1699309377 | Marie Mueller | Nurse Practitioner | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2020-03-02 |
| 1144850801 | Alexandria Nicole Lyon | Psychologist | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2020-01-22 |
| 1497272538 | Rebekka Jacobs | Social Worker | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2017-08-29 |
| 1245665405 | Stephen C Rasmus Md PC | Psychiatry & Neurology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2013-09-06 |
| 1568604916 | Kiwhoon Lee | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2009-04-01 |
| 1043481179 | Ciaccio Medical, P.C. | Psychiatry & Neurology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2008-03-17 |
| 1588694012 | Rickey L. Wilson | Psychiatry & Neurology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-07-03 |
| 1649233909 | Janis Diane Smith | Psychologist | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-04-08 |
| 1598745267 | Fareeduddin Ahmed | Physical Medicine & Rehabilitation | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542264 | Genesis Health System | Psychiatric Unit | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2006-06-05 |
| 1285673459 | Genesis Health System | Psychiatric Unit | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646029 | Equality Through Community | Psychiatric Unit | 2525 Princeton Rd, Iowa City, IA 52245-3721 | 2015-08-06 |
| 1356743009 | Mary K Corbin | Psychiatric Unit | 826 Rundell St, Iowa City, IA 52240-6254 | 2014-09-24 |
| 1972667731 | Ellsworth Municipal Hospital | Psychiatric Unit | 110 Rocksylvania Ave, Iowa Falls, IA 50126-2431 | 2006-12-19 |
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1548681091 | Rchp - Ottumwa LLC | Psychiatric Unit | 1001 Pennsylvania Ave, Attn: Facility Ceo, Ottumwa, IA 52501-2186 | 2013-12-31 |
| 1649523580 | Mercy Iowa City | Psychiatric Unit | 500 E Market St, Psychiatry 4 North, Iowa City, IA 52245-2633 | 2012-10-16 |
| 1275803470 | Tms of Iowa, LLC | Psychiatric Unit | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2012-01-04 |
| 1437384799 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2009-05-15 |
| 1821127572 | Mercy Medical Center - Clinton, Inc. | Psychiatric Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-05 |
| 1902943970 | Ottumwa Regional Health Center, Inc | Psychiatric Unit | 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 | 2007-01-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.